BILLING SPECIALIST

Description

PURPOSE

Ensure compliance of philosophy, policies, procedures, and goals of the Clara Barton Hospital. Will cross-train to be able to perform work in patient billing and collections.

ESSENTIAL FUNCTIONS :

1. Checks to ensure that all necessary information for proper billing is recorded in patient files. Talks to patients as necessary regarding account information

2. Prepare claims to submit to both primary and secondary insurance companies for payment on patient accounts.

3. Transmits claims electronically to Medicare, Medicaid, Blue Cross and NEIC carriers daily

4. Contacts insurance companies in effort to collect submitted patient claims

5. Resubmits any information required by insurance companies in order to process claims

6. Makes adjustments to the computer classification of claims to most accurately reflect the expected pay source

7. Meets monthly cash collection / AR day goals.

8. Attends annual in-services and updates staff development records accordingly

9. Attends ACE meetings as they apply to job and / or mandatory CBH meetings as needed

10. Responsible to resubmit unpaid claims on aging reports and work to meet the department aging goals

11. Processes accuracy of insurance payments

12. Performs other tasks as may be assigned

Requirements

REQUIRED KNOWLEDGE, SKILLS, ABILITIES, AND COMPETENCY :

Knowledge of basic bookkeeping, general accounting, collecting, and standard office practices and procedures. Ability to type. Graduation from High School or equivalent. Ability to use Internet and process claims thru the hospital system. Prefer 1-2 years billing experience to be considered for remote work.